Amanda Elizabeth Wennersten, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP8586 Issued in AZ

Practice address

4831 N 11TH St
Phoenix, AZ 85014-3681

Phone

(602) 424-2101

Fax

(602) 424-2103

NPI assigned

Jul 14, 2016

Last updated

Apr 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: amanda.wennersten@135.securemail.prognocis.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health Care Solutions Centers, LLC

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1255777355
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1386097335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 E BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054452",
            "telephone_number": "480-325-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4831 N 11TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143681",
            "telephone_number": "602-424-2101",
            "fax_number": "602-424-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENNERSTEN",
        "first_name": "AMANDA",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN164357",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Loraine Wene
• Margaret Weng
• Michael S Weng, M.D.
• Danielle Wenger
• Devyn Alexandria Wengraf
• Brandon Wentz, DMD
• Victoria Wenzel, RN
• Donna Werk, RN
• Evan Werk, M.D.
• Lindsay Werkheiser, PSYD

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.